Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | D0060461 | MD |
Y | 2080P0204X | Pediatric Emergency Doctor | 2008-00312 | NC |
NPI | 1215906607 |
---|---|
Provider Name | William A Mills JR. |
First Address | Chapel Hill, NC 27599-0001 |
Second Address | Chapel Hill, NC 27599-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 22/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
402877500 | (05) | MD |
75859901 | BLUE SHIELD (01) | MD |
H98732 | (02) |